Zhang Di-qing, Chen Zi-qiang, Li Ming
Department of Orthopedic, Second Military Medical University, Shanghai 200433, China.
Zhonghua Wai Ke Za Zhi. 2011 Mar 1;49(3):218-21.
To investigate the reliability of cervical vertebral maturation (CVM) and to verify the possibility in the growth evaluation of female adolescent idiopathic scoliosis patients as a helpful supplementary to the Risser sign.
Coronal and lateral full-length spine X-ray film and left hand-wrist radiographs of 77 female adolescent patients with idiopathic scoliosis were selected from January 2010 to October 2010. The interval period between lateral length of the spine and left hand-wrist radiographs did not exceed 3 months. The CVM was assessed by a method developed by Baccetti and co-workers, whereas hand-wrist maturation was assessed by Fishman's method. The results were analyzed by Spearman correlation with patients Risser sign, chronological age, and menarche period.
There were strong correlations between CVM and SMI or Risser sign (r = 0.862 and 0.762, P < 0.01). While in 26 patients whose Risser sign were 0-I, the correlation between CVM and SMI was more pronounced (r = 0.761, P < 0.01), compared with the correlation between Risser sign and SMI (r = 0.641, P < 0.01).
CVM is a valid indicator of skeletal growth evaluation and can be used as a helpful supplementary to Risser sign.
探讨颈椎成熟度（CVM）的可靠性，并验证其在女性青少年特发性脊柱侧凸患者生长评估中作为Risser征有益补充的可能性。
选取2010年1月至2010年10月间77例女性青少年特发性脊柱侧凸患者的脊柱冠状面和矢状面全长X线片及左手腕部X线片。脊柱全长片与左手腕部X线片的间隔时间不超过3个月。采用Baccetti及其同事开发的方法评估CVM，采用Fishman方法评估手腕成熟度。通过Spearman相关性分析结果与患者的Risser征、实际年龄和月经初潮期的关系。
CVM与SMI或Risser征之间存在强相关性（r = 0.862和0.762，P < 0.01）。在26例Risser征为0-I级的患者中，CVM与SMI之间的相关性更为显著（r = 0.761，P < 0.01），而Risser征与SMI之间的相关性为（r = 0.641，P < 0.01）。
CVM是骨骼生长评估的有效指标，可作为Risser征的有益补充。
